强化运动训练对偏瘫患者认知功能的影响

发布时间：2018-07-15 07:06

【摘要】：目的:通过比较脑卒中后强化运动训练对认知功能的影响,来证实强化运动治疗是否有效,以及强化训练时间和认知功能改善之间的关系。方法:选取2014-2015年在我院康复科住院并确诊为认知功能障碍的脑卒中患者30例,将患者随机分为对照组和强化训练组,每组15例。在完成常规认知功能训练的基础上,对照组和强化训练组分别采用运动功能的常规训练和强化训练。两组患者分别于治疗前,及治疗后2、4、6周运用MMSE量表进行认知功能评定、运用Fugl-Meyer下肢运动功能评定法(FMA-L)对下肢运动功能进行评定。结果:两组患者治疗前的MMSE评分差异无统计学意义(p0.05),强化训练组于治疗2、4、6周后的MMSE评分均高于同时间对照组的MMSE评分,差异有统计学意义(p0.05)。各组内患者于治疗2、4、6周后的MMSE评分均高于前一次评分,差异有统计学意义(p0.05)。强化训练组于治疗2、4、6周后的FMA-L评分均高于同时间对照组的FMA-L评分,差异有统计学意义(p0.05)。各组内患者于治疗2、4、6周后的FMA-L评分均高于前一次评分,差异有统计学意义(p0.05)。结论:强化运动训练较普通训练可以明显改善脑卒中患者的认知功能,并且在一定范围内,随着疗程的延长,认知功能的改善越明显。
[Abstract]:Aim: to compare the effect of intensive exercise training on cognitive function after stroke, to verify the effectiveness of intensive exercise therapy and the relationship between intensive exercise training time and cognitive function improvement. Methods: thirty stroke patients who were hospitalized in rehabilitation department of our hospital in 2014-2015 and diagnosed as cognitive dysfunction were randomly divided into control group and intensive training group with 15 cases in each group. On the basis of the routine cognitive function training, the control group and the intensive training group adopted routine training and intensive training respectively. The patients in both groups were assessed with MMSE before treatment and 2 weeks and 6 weeks after treatment respectively. Fugl-Meyer lower limb motor function assessment (FMA-L) was used to evaluate lower extremity motor function. Results: there was no significant difference in MMSE scores between the two groups before treatment (p0.05). The MMSE scores in the intensive training group were higher than those in the control group after 2 weeks of treatment (p0.05). The MMSE scores of patients in each group were significantly higher than those of the previous group 6 weeks after treatment (p0.05). The FMA-L score in the intensive training group was significantly higher than that in the control group at the same time (p0.05). The FMA-L score of the patients in each group was significantly higher than that of the previous group after 6 weeks of treatment (p0.05). Conclusion: intensive exercise training can obviously improve the cognitive function of stroke patients, and in a certain range, the improvement of cognitive function is more obvious with the prolongation of the course of treatment.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.3

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